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Journal of Nutrition Research
An official journal of IAPEN India association

Article

IAPEN India: Consensus Guidance and Recommendation on Nutritional Management of Paediatric Cancer Patients
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Journal of Nutrition Research

DOI: 10.55289/jnutres/v12i1_23.31

Year: 2024, Volume: 12, Issue: 1, Pages: 15-31

Guideline

IAPEN India: Consensus Guidance and Recommendation on Nutritional Management of Paediatric Cancer Patients

Lekha Sreedharan 1 , Sripriya Venkiteswaran​ ✉ 2 , Maya Prasad 3 , K C Anand 4 , K Vasudeva Bhat 5 , Nandita Dhanaki 6 , Priti Arolkar 7 , Rajul Mahendra Gala 8 , Revathi Raj 9 , S Nandhini 10 , Roshan Kore 11 , Momi Barman 12 , A Snany Surendran 13 , Vibha Mehta 14 , Nikita Gaonkar 15 , Reshma Aleem 16 , Kanika Narang 17 , N Vijayashree 18 , Nirmala Srinivasan 19 , V Brundavani 20 , Divya Ananthasubramanian 21 , K Anushia John 22 , C Reena 23 , Anuradha Daptardar 24 , Karthik Narayanan Ramaswamy 25 , Vimal Kumar 26 , Shivshankar Timmanpyati 27

1 DGM & HOD-Clinical Dietetics, Apollo Children's Hospitals
2 Head of Content, CICN, Cuddles Foundation
3 Professor, Paediatric Oncology, Tata Memorial Centre
4 Consultant, Sri Shankara Cancer Hospital and Research Centre, Bengaluru
5 Associate Professor, Division of Paediatric Haematology and Oncology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka
6 Assistant Dietician, Advanced Centre for Treatment, Research and Education in Cancer (ACTREC)
7 Assistant Dietitian, Tata Memorial Hospital, Mumbai
8 Senior Clinical Dietitian, Tata Memorial Hospital, Department of Paediatric Oncology, Parel, Mumbai
9 Paediatric Haematologist, Apollo Cancer Centre, Chennai
10 Clinical Dietitian, Apollo Cancer Centre, Chennai
11 Consulting Paediatric Dietician, SRCC children's hospital managed by Narayana Health, Mumbai
12 Paediatric Onco Nutritionist, Programs team, Cuddles Foundation
13 Nutrition Oncologist, MVR Cancer Centre and research institute, Kozhikode, Kerala
14 Paediatric Onco Nutritionist, Programs team, Cuddles Foundation
15 Paediatric Nutritionist, Programs team, Cuddles Foundation
16 Senior Dietician, Dr Rela Institute and Medical Centre
17 Deputy Manager, Head of Department - Dietetics, Indraprastha Apollo Hospitals, Delhi
18 Chief Dietician, MGM Healthcare, Chennai
19 Dietitian, Medical Oncology JIPMER Puducherry
20 Paediatric Nutrition Consultant, Rainbow Children's Hospitals, Banjara Hills LV Prasad Road 2, Hyderabad, India
21 Nutritionist, Medecins Sans Frontieres (MSF)/ Doctors Without Borders India(DWBI), Mumbai
22 Clinical Dietitian, Cankids - Institute of Child Health
23 Dietician, Malabar Cancer Centre (Postgraduate Institute of Oncology Sciences & Research), Kannur, Kerala
24 In Charge, Physiotherapy Department, Tata Memorial Hospital, Mumbai
25 Paediatric Intensivist, Rainbow Children's Hospital, Guindy, Chennai
26 Senior Consultant, Pediatric Hematology, Oncology & BMT, MGM Cancer Institute, Chennai
27 Chief Clinical Nutritionist, Tata Memorial Hospital, Mumbai
 
Corresponding author ✉: [email protected]

Received Date:21 December 2023, Accepted Date:15 May 2024, Published Date:18 June 2024

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Nutritional imbalances which occur as a result of the disease and its treatment are common problems in paediatric cancer patients. Malnutrition, which encompasses both overnutrition and undernutrition, directly impacts a child's growth, quality of life, treatment outcomes, and survival. Unfortunately, nutritional management of paediatric cancer patients is not standardised and uniform across the country due to the lack of national guidelines. This necessitates the formulation of guidelines and recommendations that will provide a systematic approach and help address the multiple nutritional challenges in paediatric cancer patients. While formulating this consensus statement, a cohort of experts comprising paediatric oncology nutrition experts and oncologists were selected from paediatric oncology centres across India. The committee thus formed put together clinical questions in different areas on identification, evaluation and management of nutritional issues in children undergoing treatment for cancer. An extensive literature search in PubMed was performed; the available evidence was discussed over eight meetings, and recommendations were drafted as per the committee members' discussion and consensus. Practical recommendations were proposed and deliberated upon wherever evidence in the literature was unavailable. Finally, the draft consensus statements and recommendations were approved by all the authors for publication and practice. With this paper, the committee aimed to present a consensus-based guidance for addressing the nutritional needs of children with cancer.

Keywords

Pediatric Oncology Nutrition, Nutritional Management, Consensus Recommendations and Guidance

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© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

  • 18 June 2024

Year: 2024, Volume: 12, Issue: 1


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